Compliance Improvement Manager

Job Summary

To enhance compliance adherence and optimize call center operations, the full-time salaried Compliance Improvement Manager will drive compliance-focused performance initiatives, collaborate with key stakeholders, and manage a team of Compliance Analysts in a remote environment.

Key responsibilities:

• Support compliance and performance strategy by implementing CMS and carrier-aligned initiatives and guiding process improvements
• Monitor compliance trends and analytics to identify risks and improvement opportunities
• Lead compliance coaching and retraining for agents and leaders while overseeing a team that supports preparation and monitoring

Required qualifications:

• Bachelor's degree or equivalent
• 6 years' experience in Medicare Advantage, Prescription Drug Plan, and Regulatory Compliance in healthcare or insurance
• Strong knowledge of CMS regulations, Medicare compliance standards, and carrier requirements
• Familiarity with audit and monitoring tools for compliance tracking and performance improvement
• Experience in risk management, compliance reporting, and process optimization